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目的探讨咽旁间隙肿瘤手术入路。方法回顾性分析31例咽旁间隙肿瘤患者的临床资料,总结手术径路。结果 31例均完整切除肿瘤,其中2例经口入路,23例经颈入路,4例经颈侧腮腺入路,2例经颈-颌入路切除肿瘤;术后3例发生暂时性面瘫,1例出现舌下神经麻痹,均于术后1个月内恢复;术后6个月复发1例,为腮腺深叶恶性肿瘤患者。结论咽旁间隙肿瘤手术入路较多,应依据病变位置、大小及病理学特点选择最佳手术入路,经颈侧入路为基本手术径路。
Objective To explore the parapharyngeal space tumor surgical approach. Methods The clinical data of 31 patients with parapharyngeal space tumor were retrospectively analyzed, and the surgical approach was summarized. Results Totally 31 patients underwent complete resection of the tumor. Among them, 2 received oral approach, 23 received transcervical approach, 4 received parotid gland approach, and 2 received neck-and-jaw approach to remove the tumor. Three postoperatively Facial paralysis, 1 case of hypoglossal nerve paralysis, were recovered within 1 month after surgery; 6 months after recurrence in 1 case, for parotid deep-leaf cancer patients. Conclusion There are many surgical approaches for parapharyngeal space tumor. The best surgical approach should be selected according to the location, size and pathological features of the lesion. The approach of the neck is the basic surgical approach.